Facility Evaluation Report

On 10/1/2022, Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced required annual visit. Upon arrival at the facility, LPA Montoya called Administrator Fernando Callejas and conducted a risk assessment over the telephone. Based on the assessment, the facility is clear of Covid-19 infection. LPA verified that the facility has an approved mitigation plan report.

The facility is licensed to serve four (4) non-ambulatory clients, ages 18-59, developmentally disabled. LPA observed three (3) clients and three (3) staff present during today's visit. The facility's annual fees are current.

LPA toured the single-story facility with Administrator Callejas. The facility consists of four (4) bedrooms, four (4) bathrooms, a dining area, a living room, an office, and a activity room.

LPA Montoya toured and inside and outside grounds of the facility with Administrator Callejas. LPA observed there were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 115.8 and 117.4 degree Fahrenheit in the common bathrooms. A comfortable temperature was maintained in the facility.

LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food supplies. The facility has (1) fire extinguisher that was charged and last serviced on 3/1/2022, smoke detectors, and carbon monoxide were operable. The facility conducted a Fire/Safety Drill on 9/15/2022. A working telephone (310) 328-8365 remains available.